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MR. DARIUS TERRAY HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3161 HOWELL MILL RD NW, ATLANTA, GA 30327-2135
(404) 351-5812
Mailing address
11633 SAN VICENTE BLVD STE 214, LOS ANGELES, CA 90049-6513
(310) 979-8378
(310) 979-8379

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95007584
CA
363LF0000X
Family Nurse Practitioner
Primary
RN318848
GA

Other

Enumeration date
09/18/2017
Last updated
06/08/2023
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